薛立斋治一妊娠下血，服凉血之药，下血益甚，食少体倦。此脾气虚而不能摄血，用补中益气汤而愈。后
因怒而寒热，其血仍下。此肝火旺而血沸腾，用加味逍遥散血止，用补中益气汤而安。
一妊妇下血，发热作渴，食少体倦，属脾气虚而肝火所侮，用四君子加柴胡、山栀血止。因怒复作，用六
君子加柴胡、山栀、升麻而安。
一妊妇六月，每怒血下，甚至寒热头痛，胁胀腹痛，作呕少食。薛谓寒热头痛，乃肝火上冲；（此语无人解通。）
胁胀腹痛，乃肝气不行；作呕少食，乃肝火侮胃；小便下血，乃肝火血热。用小柴胡加白芍、炒山栀、茯苓、
白术而愈。
一妊妇胎及六月，形体倦怠，饮食少进，劳役下血，胎动不安，用六君加当归、熟地、升麻、柴胡而愈。
张子和治一妇，娠半年，因伤损下血。张诊之，以三和汤，一名玉烛散，承气汤、四物汤对停，加朴硝煎
之，下数行，痛如手拈，下血亦止。此法可与智识高明者言，膏粱之家，慎勿举似，非徒骇之，抑又谤之。呜
乎！正道难行，正法难用，古今皆然。
孙文垣治侄孙妇，三孕而三小产，六脉滑数，乃气虚血热也。因血频下，甚恐怖，终日偃卧，稍起血即大
下，与生地、白芍、白术、地榆、桑皮、寄生、续断、甘草、升麻、椿根白皮、黄柏、条芩服之，血三日不
来，惟白带绵绵下。因起身稍劳，血复行，谓血滑已久，若不涩，必不能止。又血海甚热，亦肝风所致，防风
子芩丸，正与病对，宜制与之。又制白芍六两，侧柏叶、条芩各三两，防风、椿根白皮各二两，蜜丸服之，遂
血止胎定，足月产子，此后绝无胎漏之患。后遇此证，第用此法皆验。
张路玉治郑墨林夫人，素有便红证，妊七月，正肺气养胎时，患冬温咳嗽，咽痛如刺，下血如崩，脉较平时
反觉小弱而数，此热伤手太阴血分也。与黄连阿胶汤，二剂血止。后去黄连，加葳蕤、桔梗、人中黄，四剂而安。
柴屿青治其外家母，怀孕五月，与女伴争竞致伤，腹痛见红，稳婆验云∶昨夜子已在产门，定死腹中。诊其
六脉如常，验其舌红活，断以决无此理。用安胎养血药，二剂而起。至十月满足，产一子。
叶杏林曰∶一妇人妊娠，月信不断，而胎不损。产科熊宗古曰∶妇人血盛气衰，其体必肥，是以月信来而
胎不损。若作漏胎，则胎必堕。若不作漏胎，则胎未必堕也。
立斋治一妊妇尿血，内热作渴，寒热往来，胸乳作胀，饮食少思，肝肺弦弱，此肝经血虚而有热也。用加
味逍遥、六味兼服渐愈。又用八珍汤加柴、栀、丹皮而全愈矣。
魏玉横曰∶许竹溪室人，妊娠七月，偶以举重跌磕，遂胎动下血甚多，与熟地一两，杞子五钱，白芍三钱，
甘草五分，枣仁三钱，数剂全愈。
胡田室人先尝妊娠，以胎漏诸治罔效。延至二十四月而产。近有孕，仍漏血下，因胃痛，求治。脉之，两
关弦数，与生地、杞子、沙参、麦冬、川楝，胃痛愈，而胎亦不漏矣。
Dr. Xue Lizhai treated a pregnant woman with vaginal bleeding during pregnancy. After taking blood-cooling herbs, the bleeding worsened, accompanied by poor appetite and physical fatigue. This was due to Spleen Qi deficiency failing to control the blood. She was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). Later, due to anger, she experienced alternating chills and fever, and the bleeding persisted. This was caused by hyperactive Liver Fire boiling the blood. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) stopped the bleeding, and Buzhong Yiqi Tang stabilized her condition.
Another pregnant woman presented with vaginal bleeding, fever, thirst, poor appetite, and fatigue. This belonged to Spleen Qi deficiency with suppression by Liver Fire (Wood insulting Earth). Si Jun Zi Tang (Four Gentlemen Decoction) added with Chai Hu (Bupleuri Radix) and Shan Zhi (Gardeniae Fructus) stopped the bleeding. It recurred after anger, and Liu Jun Zi Tang (Six Gentlemen Decoction) added with Chai Hu, Shan Zhi, and Sheng Ma (Cimicifugae Rhizoma) stabilized her.
A third pregnant woman at six months gestation bled upon every episode of anger, even experiencing chills, fever, headache, distension in the hypochondrium, abdominal pain, vomiting, and poor appetite. Dr. Xue stated that chills, fever, and headache were due to Liver Fire rushing upward; (this statement is difficult to interpret.) Distension in the hypochondrium and abdominal pain were due to stagnant Liver Qi; vomiting and poor appetite were due to Liver Fire insulting the Stomach; hematuria was due to Liver Fire and blood heat. Xiao Chai Hu Tang (Minor Bupleurum Decoction) added with Bai Shao (Paeoniae Radix Alba), fried Shan Zhi, Fu Ling (Poria), and Bai Zhu (Atractylodis Macrocephalae Rhizoma) cured her.
Another pregnant woman at six months gestation presented with physical fatigue, reduced food intake, vaginal bleeding due to overexertion, and restless fetus. Liu Jun Zi Tang added with Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata), Sheng Ma, and Chai Hu cured her.
Zhang Zihe treated a woman who, at half a year of pregnancy, suffered vaginal bleeding due to trauma. Zhang diagnosed this and prescribed San He Tang (Three Harmonies Decoction), also known as Yu Zhu San (Jade Candle Powder), which combined Cheng Qi Tang (Order the Qi Decoction) and Si Wu Tang (Four Substance Decoction) in equal parts, adding Po Xiao (Natrii Sulfas), decocted and administered. After several bowel movements, the pain subsided as if kneaded by hand, and the bleeding stopped. This method can only be discussed with those of high insight; one must be cautious not to mention it to wealthy families, for it will not only frighten them but also invite slander. Alas! The correct path is hard to follow, and correct methods are hard to use; this has been true since ancient times.
Dr. Sun Wenyuan treated his nephew’s wife, who had three consecutive miscarriages. Her six pulses were slippery and rapid, indicating Qi deficiency and blood heat. Due to frequent bleeding, she was terrified, lying flat all day; any slight movement caused heavy bleeding. He prescribed Sheng Di Huang (Rehmanniae Radix), Bai Shao, Bai Zhu, Di Yu (Sanguisorbae Radix), Sang Bai Pi (Mori Cortex), Du Zhong (Eucommiae Cortex), Xu Duan (Dipsaci Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Ma, Chun Gen Bai Pi (Toosendanii Cortex), Huang Bo (Phellodendri Cortex), and Tiao Qin (Scutellariae Radix). After three doses, bleeding ceased, leaving only continuous leukorrhea. Upon slight exertion while rising, bleeding resumed. Dr. Sun said, "The blood slipperiness has lasted long; without astringency, it cannot stop." Furthermore, the Blood Sea is very hot, caused by Liver Wind. Fang Feng Zi Qin Wan (Wind-Dispersing Fetus-Securing Pill) was precisely indicated and should be prepared for her. He also prepared pills made of 6 liang of Bai Shao, 3 liang each of Ce Bai Ye (Biota Top Leaf) and Tiao Qin, 2 liang each of Fang Feng (Saposhnikoviae Radix) and Chun Gen Bai Pi, sweetened with honey. She took them, bleeding stopped, the fetus settled, and she delivered a healthy baby at term. Thereafter, she never suffered from fetal leakage again. In subsequent cases of this syndrome, using this method proved effective.
Dr. Zhang Luyu treated Madam Zheng Molin, who had a history of hematochezia (blood in stool). At seven months of pregnancy, during the period when Lung Qi nourishes the fetus, she contracted Winter-Warmth disease with cough, sore throat like stabbing, and vaginal bleeding like a gush. Her pulse felt smaller, weaker, and more rapid than usual, indicating Heat injuring the Blood aspect of the Hand-Taiyin Lung Meridian. Huang Lian E Jiao Tang (Coptis and Donkey-Hide Gelatin Decoction) was given for two doses, stopping the bleeding. Later, Huang Lian was removed, and Rui Zhu (Polygonati Rhizoma), Jie Geng (Platycodonis Radix), and Ren Zhong Huang (Human Midsection Ash) were added. Four doses stabilized her.
Chai Yuqing treated his mother-in-law, who at five months of pregnancy was injured by an argument with a female companion, resulting in abdominal pain and spotting. The midwife examined her and claimed: "Last night the fetus was already at the birth canal, surely dead in the womb." Palpating her six pulses as normal and observing her tongue as red and lively, he ruled out this possibility. Anxi Yangxue Yao (Fetus-Calming and Blood-Nourishing Medicine) was used, and she improved after two doses. At ten months, she delivered a son.
Ye Xinglin said: A woman had continuous menstruation during pregnancy without fetal damage. Obstetrician Xiong Zonggu said: When a woman has abundant blood and deficient Qi, her body is necessarily fat; thus, menstruation occurs without fetal damage. If treated as fetal leakage, the fetus will abort. If not treated as fetal leakage, the fetus may not abort.
Dr. Lizhai treated a pregnant woman with hematuria, internal heat, thirst, alternating chills and fever, chest and breast distension, and poor appetite. Her Liver and Lung pulses were wiry and weak, indicating Liver Meridian Blood deficiency with Heat. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) were taken concurrently, leading to gradual recovery. Later, Bazhen Tang (Eight Treasures Decoction) added with Chai Hu, Shan Zhi, and Dan Pi (Moutan Cortex) completely cured her.
Dr. Wei Yuheng said: Mrs. Xu Zhuxi, at seven months of pregnancy, accidentally fell while lifting heavy objects, causing significant fetal restlessness and bleeding. Shu Di Huang, Gou Qi Zi (Lycii Fructus), Bai Shao, Gan Cao, and Suan Zao Ren (Ziziphi Spinosae Semen) were given for several doses, resulting in full recovery.
Mrs. Hu Tiantian had previously experienced pregnancy complicated by fetal leakage, unresponsive to various treatments, delivering at twenty-four months. Recently pregnant again, she still had leakage and sought treatment for stomach pain. Her pulse was wiry and rapid at both Guan positions. Sheng Di Huang, Gou Qi Zi, Sha Shen (Glehniae Radix or Adenophorae Radix), Mai Dong (Ophiopogonis Tuber), and Chuan Lian Zi (Meliosmae Fructus) were prescribed. The stomach pain resolved, and the fetal leakage stopped.